Home Hospice RN Case Manager - Oshkosh

Advocate Health and Hospitals Corporation•Green Bay, WI

14h

About The Position

Advocate Health is seeking a Registered Nurse Case Manager to join its Oshkosh Hospice team. The role primarily supports the Oshkosh market and requires flexibility to assist neighboring teams and territories when coverage or patient-care needs arise. The current schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., with participation in a rotating holiday schedule. The position is full time, benefits eligible, and scheduled for 40 hours per week. External candidates may be eligible for a $3,000 sign-on bonus. The listed pay range is $38.20–$57.30. The Case Manager identifies and coordinates care for terminally ill patients and their families in hospice settings. The role provides comfort-focused nursing care, assesses patient and family needs, coordinates services, and leads the interdisciplinary care group in developing and updating each patient's Plan of Care. The Case Manager educates patients and families about disease processes, hospice, symptom management, and end-of-life changes; administers prescribed medications and treatments; and coordinates with physicians, other team members, and community resources to support continuity of care. The position includes ongoing assessment and documentation, communication of changes in condition, appropriate referrals, and supervision of Home Health Aide and licensed practical nurse visits. In Wisconsin, the Case Manager may conduct palliative-care OASIS assessments and hospice assessments, establish and update plans of care, and ensure applicable skilled nursing and homebound criteria are met. The role also includes orienting and mentoring new staff as requested and providing age-appropriate care across the lifespan. Advocate Health describes its Total Rewards as including competitive compensation, paid time off, health and welfare benefits, retirement plans with employer match, financial wellness programs, educational assistance, career development programs, and other well-being programs. Program eligibility may depend on FTE or employment status.

Requirements

Registered Nurse license issued by the state in which the team member practices.
Basic Life Support for Healthcare Providers certification issued by the American Heart Association, to be obtained upon hire unless the department leader determines it is not required.
Valid driver's license issued by the Division of Motor Vehicles.
Completion of an accredited or approved nursing program.
Typically, 1–2 years of nursing experience, including experience in home health, hospice, medical/surgical, long-term care, emergency care/ICU, oncology, or similar related experience.
Competence in deformity prevention, normal range of motion, body mechanics, body alignment, fundamental principles of human behavior, and the effects of stress on individuals and groups.
Strong awareness and perception skills to assess patient needs and concerns and recognize changes in health condition.
Strong communication and interpersonal skills.
Strong decision-making and critical-thinking skills, with the ability to work independently and make sound judgments.
Strong prioritization and organizational skills.
Ability to lift up to 50 pounds from floor to waist, lift up to 20 pounds overhead, carry up to 40 pounds a reasonable distance, and push or pull with 30 pounds of force.
Ability to perform a sliding transfer of 150 pounds with a second person present.
Ability to work safely with people of various sizes and weights and with diverse, complex medical conditions and physical limitations.
Physical agility and stamina to move in confined spaces and perform bending, kneeling, squatting, and occasional prolonged overhead reaching.
Functional speech, vision, hearing, and touch, with fine-hand manipulation skills.
Ability to operate all equipment necessary to perform the job.

Responsibilities

Identify and coordinate patient and family care for terminally ill patients in hospice settings, with contact at least every 15 days and more often as needed.
Use teaching, assessment, and intervention skills to provide end-of-life comfort care and maximize quality of life.
Educate patients and families about disease processes and trajectory, disease management, hospice philosophy, and signs and symptoms of decline and end of life.
Update the primary physician as indicated and in accordance with agency, accreditation, state, and federal requirements.
Continuously review each patient's care, including service utilization and whether hospice level-of-care criteria are met.
Make referrals to other team members as appropriate.
Administer medications and treatments as prescribed by the physician.
Lead the interdisciplinary care group for patients and families on the caseload, and work with the group to develop, revise, and implement each patient's Plan of Care.
Coordinate services and collaborate with interdisciplinary team members to provide consistent patient care.
Arrange or recommend equipment, medical supplies, and other necessary items and services.
Enter, complete, and update electronic health record documentation in accordance with agency and department standards, policies, and applicable accreditation, state, and federal guidelines.
Assess patient responses to treatments, medications, and teaching; adjust interventions and follow-up to meet patient needs.
Update and revise Plans of Care as indicated, with supporting documentation.
Communicate problems and changes in patient condition to physicians, supervisors, and other interdisciplinary group members.
Enter verbal orders from physicians or advanced practice nurses into the electronic health record.
Supervise and perform Home Health Aide and licensed practical nurse supervisory visits according to agency standards.
Instruct paraprofessional staff in a timely manner and in accordance with agency, state, and federal regulations.
Facilitate discharge planning and use interagency, system, and community resources to support continuity of care after discharge.
In Wisconsin, may conduct OASIS assessments for palliative-care patients, conduct hospice initial and comprehensive assessments, and establish and update Plans of Care.
Ensure continued skilled nursing and homebound criteria are met, and initiate appropriate preventive and rehabilitative nursing procedures.
Use appropriate body mechanics, assistive devices, and safety techniques when positioning, repositioning, or transporting patients, including tasks involving lifting and pushing or pulling.
Orient and mentor new staff as requested.
Provide care appropriate to patients' ages and demonstrate knowledge of lifespan growth and development and age-specific needs.